Dance with Me Creative Movement Class
Ages 6. Months & UP, Location: 214-10 41st Ave Bayside, NY 11361 718-225-3696
Dancer's Name
*
Dancer's Age
*
Parent's Name
*
Parent’s Contact Phone Number
*
Please enter a valid phone number.
E-MAIL
*
example@example.com
As the adult bringing my dancer to class, I confirm:
*
I understand that this class is not a separation or drop-off class
I understand that this class requires my participation in activities with my dancer
I don't have any medical condition or medical history that will affect my participation in this class
I am in good physical condition to participate in this class
Signature
*
SUBMIT
Should be Empty: